PiMS Patient Tracking provides for tracking of data elements which are necessary for billing as well as administrative items, such as signatures or incomplete forms.

Insurance information (policy number, group number, authorization codes) and account information (patient’s SSN, address, final diagnosis, discharge MD, etc.) can both be tracked for accuracy and completion.

Patient tracking can be used to provide worklists to manage insurance verification and re-verification. For example, if your policy is to verify inpatient insurance every thirty (30) days, PiMS will automatically assign the insurance to the appropriate insurance verifier's worklist in thirty (30) day increments (30, 60, 90 days, etc.) for verification.

Missing Elements and Reviewing Data Values

PiMS can track both missing and defined elements of whose information needs to be reviewed.

Missing elements are those elements that have not had any value entered. Elements that need to be reviewed include those items that have a value but needs to be reviewed for accuracy.

Responsible Departments

Do you have different departments that are responsible for separate items? Do you pass the folder between departments, gathering one item at a time? With PiMS, you can automatically direct each department to gather their items at the same time.

PiMS patient tracking removes the need for a central department to manage all missing information for the account. Each department can have their own tracked elements. For example, medical records can be coding the final diagnosis at the same time the insurance verification department is reviewing the policy number. By directly assigning required elements to the responsible department and giving them a worklist, the time required to release claims from bill hold can be reduced significantly.

When Tracking is Started

Patient tracking can be started at any time in the account cycle (pre-admission, admission, discharge). For example, insurance verification can start when the patient is pre-admitted while the tracking of the final diagnosis is started two (2) days after discharge.

Worklists and Updates

A worklist consists of accounts that have administrative tasks, missing information or information that requires a review. For each worklist entry, a list of data elements or administrative items is presented. If the data element has a value, it is also displayed.

The data elements can be updated directly from the worklist, removing the need to use different functions for the update.

Bill Holds

PiMS allows you to determine which tracked elements hold the claim. As each insurance has its own set of tracked elements, it is possible to hold one claim for one insurance but not another insurance. The account will be billed but PiMS will only hold the claims for an insurance with tracked elements.

When all tracked elements for the insurance are satisfied, PiMS will automatically release the claim. The claim is also reformatted in order to include any changed data.